Patient Financial Policy

To reduce confusion and misunderstanding between our patients and practice, we have adopted the following financial policies. If you have any questions regarding these policies, please discuss them with our office manager. We are dedicated to providing the best possible care and service to you and regard your complete understanding of your financial responsibilities as an essential element of your care and treatment.

Unless other arrangements have been made in advance by either you or your health insurance carrier, full payment is due at the time of service. For you convenience we accept cash, check and most credit cards. We will charge 6% annual interest rate on all accounts with balances older than 30 days.

Your Insurance

We have made prior arrangements with many insurers and health plans to accept an assignment of benefits. This means that we will bill those plans for which we have an agreement and will only require you to pay the authorized co-payment and/or deductible at the time of service. This office has the policy to collect this co-payment and/or deductible when you arrive for your appointment.

If you have insurance coverage with a plan for which we do not have a prior agreement, we will prepare and send the claim for you on an unassigned basis. This means that your insurer will send the payment directly to you.

Consequently, the charges for your care and treatment are due at the time of service.

In the event that your health plan determines a service to be “not covered”, you will be responsible for the complete charge. Payment is due upon receipt of a statement from our office.

We will bill your health plan for all service provided in the hospital Walter X. Loyola, M.D. and M. Sarah Cabrera , AGNP-C. Any balance due is your responsibility and is due upon receipt of a statement for our office.

You may request an estimate of the cost for the proposed services before the procedure is performed.

If we receive a check of non-sufficient funds there is a $40.00 fee.

Minor Patients

For all services rendered to minor patients, we will look to the adult and/or guardian with custody accompanying the patient
for payment.

Notice of Financial Interests

You are informed by this Notice that Walter X. Loyola, M.D. holds a financial interest in Texas Health Center for Diagnostics & Surgery of Flower Mound, Methodist McKinney Hospital, and other facilities. You have the option, at your discretion, to use an alternate health care facility and/or inquire if the facility you are being sent to has any financial interest with Walter X. Loyola, M.D.